scholarly journals Diagnostic Accuracy of Chest Ultrasound versus Plain Chest X-ray in Acute Assessment of Traumatic Hemothorax

2021 ◽  
Vol 83 (1) ◽  
pp. 969-973
Author(s):  
Samir Mohamed Attia ◽  
Noureldin Noaman Gwely ◽  
Mohamed El-Said Ibrahim ◽  
Mahitab Galal El-Din Rashwan Hefny
Keyword(s):  
Diagnostic Accuracy ◽  
X Ray ◽  
Chest Ultrasound ◽  
Plain Chest ◽  
Chest X Ray

scholarly journals Effectiveness of Lung Ultrasound in Comparison with Chest X-Ray in Diagnosis of Lung Consolidation

2019 ◽  
Vol 7 (15) ◽  
pp. 2457-2461
Author(s):  
Youssef Ibrahim Haggag ◽  
Karim Mashhour ◽  
Kamal Ahmed ◽  
Nael Samir ◽  
Waheed Radwan
Keyword(s):  
Lung Ultrasound ◽  
Community Acquired Pneumonia ◽  
P Value ◽  
Initial Examination ◽  
X Ray ◽  
Chest Ultrasound ◽  
Lung Consolidation ◽  
Plain Chest ◽  
Chest X Ray

BACKGROUND: Lung ultrasound (US) is an available and inexpensive tool for the diagnosis of community-acquired pneumonia (CAP); it which has no hazards of radiation and can be easily used. AIM: To evaluate the efficacy of lung ultrasound in the diagnosis and follow-up of CAP. PATIENTS AND METHODS: 100 patients aged from 40 to 63 years with a mean age of 52.3 ± 10 years admitted to the Critical Care Department, Cairo University with pictures of CAP. Lung US was performed for all patients initially, then a plain chest X-ray (CXR) was performed. Another lung ultrasound was performed on the 10th day after admission. RESULTS: Initial chest X-ray was correlated with the initial chest ultrasound examination in CAP diagnosis (R-value = 0.629, P < 0.001). Cohen's κ was run to determine if there is an agreement between the findings of the initial chest X-ray findings and those of the initial chest ultrasound in CAP diagnosis. A moderate agreement was found where κ = .567 (95% CI, 0.422 to 0.712) and P < 0.001. Upon initial examination, the CXR diagnosed CAP in 48.0% of patients, while lung US diagnosed the disease in 70% of patients. Moreover, lung US was more sensitive than CXR (P-value < 0.001). Compared to the accuracy of computed tomography (CT) chest (100%) which is the gold standard for CAP diagnosis, the accuracy of lung US was 95.0%, while the accuracy of CXR was 81.0%. CONCLUSION: This study proved the effectiveness of lung ultrasound in CAP diagnosis.

194 Follow up after lung cancer surgery: plain chest X ray does not increase diagnostic accuracy

Lung Cancer ◽  
2014 ◽  
Vol 83 ◽  
pp. S72 ◽  
Author(s):  
A. Hussain ◽  
M. Khatri ◽  
G. Casali ◽  
T. Batchelor ◽  
D. West
Keyword(s):  
Lung Cancer ◽  
Diagnostic Accuracy ◽  
Lung Cancer Surgery ◽  
Cancer Surgery ◽  
X Ray ◽  
Plain Chest ◽  
Chest X Ray

scholarly journals Chest Ultrasound versus Chest X-Ray in Children with Lower Respiratory Tract Infections

2021 ◽  
Vol 11 (04) ◽  
pp. 597-607
Author(s):  
Elham Saad Ellithey Elkhazragy ◽  
Saneya Abdel Halim Fahmy ◽  
Mona Sayed Mohammad Attaya ◽  
Ashraf Mohammad Abd Elrahman
Keyword(s):  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Lower Respiratory Tract Infections ◽  
X Ray ◽  
Chest Ultrasound ◽  
Chest X Ray ◽  
Tract Infections

scholarly journals (F)utility of computed tomography of the chest in the presence of pleural effusion

2017 ◽  
Vol 2 (4) ◽  
pp. 181-186 ◽  
Author(s):  
Tilak Pathak ◽  
Malvinder S. Parmar
Keyword(s):  
Computed Tomography ◽  
Pleural Effusion ◽  
Ct Scan ◽  
Clinical Management ◽  
Chest Ct ◽  
X Ray ◽  
Contrast Enhanced ◽  
Plain Chest ◽  
Chest X Ray ◽  
Chest Ct Scan

AbstractBackgroundPleural effusion is common and can cause significant morbidity. The chest X-ray is often the initial radiological test, but additional tests may be required to reduce uncertainty and to provide additional diagnostic information. However, additional exposure and unnecessary costs should be prevented. The objective of the study was to assess the clinical benefit of an additional chest computed tomography (CT) scan over plain chest X-ray alone in the management of patients with pleural effusion.MethodsRetrospective analysis in 94 consecutive patients with pleural effusion who underwent chest X-ray and CT scan over an 18-month period in a single institution. All chest X-ray and CT scan reports were compared and correlated with clinical parameters in order to assess their utility in the clinical management. No blinding was applied.ResultsIn 75 chest CT scan reports (80 %), information provided by the radiologist did not change clinical management when compared to plain chest X-ray alone and did not provide any additional information over chest X-ray. Only 2/49 (4 %) of the native chest CT scan reports provided clinically relevant information as compared to 17/45 (38 %) contrast-enhanced chest CT scan reports (p<0.001).ConclusionsIn this retrospective cohort of patients with pleural effusion, an additional chest CT scan was not useful in the majority of patients. However, if a chest CT scan is required, then a contrast-enhanced study after pleural aspiration should be performed. Further prospective studies are required to confirm these findings.

scholarly journals A Case of Giant Right Atrium Misinterpreted as a Mediastinal Mass on Plain Chest X-Ray

2010 ◽  
Vol 33 (12) ◽  
pp. E86-E86 ◽  
Author(s):  
Turgay Celik ◽  
Atila Iyisoy ◽  
Fatih Ors ◽  
Oben Baysan ◽  
Yalcın Gokoglan
Keyword(s):  
Right Atrium ◽  
Mediastinal Mass ◽  
X Ray ◽  
Plain Chest ◽  
Chest X Ray

Could chest ultrasound replace chest X-ray for the diagnosis of pneumothorax after pulmonary cryobiopsy?

2019 ◽  
Author(s):  
Rosa Maria Lopez Lisbona ◽  
Marta Andrea Diez Ferrer ◽  
Noelia Cubero De Frutos ◽  
Pere Trias Sabria ◽  
Antonia Bonet Burguera ◽  
...  
Keyword(s):  
X Ray ◽  
Chest Ultrasound ◽  
Chest X Ray

scholarly journals Diagnostic value of chest ultrasound after cardiac surgery: a comparison with chest X-ray and auscultation

Critical Care ◽  
2014 ◽  
Vol 18 (Suppl 1) ◽  
pp. P130 ◽  
Author(s):  
A Vezzani ◽  
T Manca ◽  
F Benassi ◽  
A Gallingani ◽  
I Spaggiari ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Diagnostic Value ◽  
X Ray ◽  
Chest Ultrasound ◽  
Chest X Ray

scholarly journals Ultrasound to Detect Central Venous Catheter Placement Associated Complications

2020 ◽  
Vol 132 (4) ◽  
pp. 781-794 ◽  
Author(s):  
Jasper M. Smit ◽  
Mark E. Haaksma ◽  
Endry H. T. Lim ◽  
Thei S. Steenvoorden ◽  
Michiel J. Blans ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Diagnostic Accuracy ◽  
Central Venous Catheterization ◽  
Venous Catheter ◽  
Reference Standard ◽  
Central Venous ◽  
Central Venous Catheter Placement ◽  
X Ray ◽  
Venous Catheterization ◽  
Chest X Ray

Abstract Background Mechanical complications arising after central venous catheter placement are mostly malposition or pneumothorax. To date, to confirm correct position and detect pneumothorax, chest x-ray film has been the reference standard, while ultrasound might be an accurate alternative. The aim of this study was to evaluate diagnostic accuracy of ultrasound to detect central venous catheter malposition and pneumothorax. Methods This was a prospective, multicenter, diagnostic accuracy study conducted at the intensive care unit and postanesthesia care unit. Adult patients who underwent central venous catheterization of the internal jugular vein or subclavian vein were included. Index test consisted of venous, cardiac, and lung ultrasound. Standard reference test was chest x-ray film. Primary outcome was diagnostic accuracy of ultrasound to detect malposition and pneumothorax; for malposition, sensitivity, specificity, and other accuracy parameters were estimated. For pneumothorax, because chest x-ray film is an inaccurate reference standard to diagnose it, agreement and Cohen’s κ-coefficient were determined. Secondary outcomes were accuracy of ultrasound to detect clinically relevant complications and feasibility of ultrasound. Results In total, 758 central venous catheterizations were included. Malposition occurred in 23 (3.3%) out of 688 cases included in the analysis. Ultrasound sensitivity was 0.70 (95% CI, 0.49 to 0.86) and specificity 0.99 (95% CI, 0.98 to 1.00). Pneumothorax occurred in 5 (0.7%) to 11 (1.5%) out of 756 cases according to chest x-ray film and ultrasound, respectively. In 748 out of 756 cases (98.9%), there was agreement between ultrasound and chest x-ray film with a Cohen’s κ-coefficient of 0.50 (95% CI, 0.19 to 0.80). Conclusions This multicenter study shows that the complication rate of central venous catheterization is low and that ultrasound produces a moderate sensitivity and high specificity to detect malposition. There is moderate agreement with chest x-ray film for pneumothorax. In conclusion, ultrasound is an accurate diagnostic modality to detect malposition and pneumothorax. Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New

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